				<div class="row-2">
                   		<h3><span>2</span>Customer Information</h3>
                        <div class="box-bottom">
                        	<p><label class="ten">Customer Name<span class="red">*</span></label>
                        	<input type="text" id="agent_name_car" name="Name" value="<?php if(isset($_SESSION['booking_hote_data']) && $_SESSION['booking_hote_data']['Name']!=null) echo $_SESSION['booking_hote_data']['Name'];?>">
							<label id="contact_error_name_car" class="contact_error">*</label>
							</p>
			                <p><label class="ten">Your E-mail<span class="red">*</span></label>
			                <input type="text" name="Email" id="agent_email_car" value="<?php if(isset($_SESSION['booking_hote_data']) && $_SESSION['booking_hote_data']['Email']!=null) echo $_SESSION['booking_hote_data']['Email'];?>">
			                <label id="contact_error_email_car" class="contact_error">*</label>
			                </p>
			                <p><label class="ten">Home Address <span class="red">*</span></label>
			                <input type="text" class="home" name="Address" id="agent_address_car" value="<?php if(isset($_SESSION['booking_hote_data']) && $_SESSION['booking_hote_data']['Address']!=null) echo $_SESSION['booking_hote_data']['Address'];?>">
			                <label id="contact_error_address_car" class="contact_error">*</label>
			                </p>
			                <p><label class="ten">Tel Number<span class="red">*</span></label>
			                <input type="text" name="Tel" id="agent_phone_car" value="<?php if(isset($_SESSION['booking_hote_data']) && $_SESSION['booking_hote_data']['Tel']!=null) echo $_SESSION['booking_hote_data']['Tel'];?>">
			                <label id="contact_error_phone_car" class="contact_error">*</label>
			                </p>
			                
			                <p><label class="ten">Note <span class="red">*</span></label>
			                <textarea style="float: left;" cols="9" rows="10" class="widthnoidung" name="Message" id="agent_message_car"><?php if(isset($_SESSION['booking_hote_data']) && $_SESSION['booking_hote_data']['Message']!=null) echo $_SESSION['booking_hote_data']['Message'];?></textarea>
			                <label id="contact_error_message_car" class="contact_error">*</label>
			                </p>
                            <p>
                            	<label>Enter code :<span class="request">*</span></label>
                                <img style="float: left;" alt="" src="<?php bloginfo('template_url');?>/incs/captcha/index.php">
                                <input style="position: relative; float:left; margin-left:5px; height: 21px; width: 70px;" type="text" value="<?php if(isset($_SESSION['booking_hote_data']) && $_SESSION['booking_hote_data']['captcha']!=null) echo $_SESSION['booking_hote_data']['captcha'];?>" id="captcha_car" name="captcha"/>
                                <label style="float: left;" id="contact_error_captcha_car" class="contact_error">*</label>
                            </p>  
                            <p	style="text-align: center; color: red; width: 560px;">
                            <?php echo $resultCaptcha;?>
                            </p>                          
                            <p>
                            	<input type="hidden" name="next_step" value="next_step">
                            </p>
                        </div>
                    </div>